Individual provider Active NPI

Adio Ishmael Abdu, M.D.

  • Obstetrics & Gynecology Physician
  • Germantown, TN
National Provider Identifier
1861615627
Registry record updated Dec 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
42343 Issued in TN
Practice address
7945 Wolf River Blvd
Germantown, TN 38138-1762
Phone
(901) 683-0055
Fax
(901) 683-0055
NPI assigned
Apr 10, 2007
Last updated
Dec 13, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 42343 TN Primary
Obstetrics & Gynecology Physician 207V00000X 25724 MS

Addresses

Primary practice location

7945 Wolf River Blvd
Germantown, TN 38138-1762

Mailing address

7714 Poplar Ave Ste 200
Germantown, TN 38138-3941
Phone (901) 683-0055

Other identifiers 2

IdentifierTypeStateIssuer
1505450MedicaidTN
005807360MedicaidMS

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address adim@wcc.oncoemrdirect.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, MS2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20080718000387 TN Practitioner - Obstetrics/Gynecology 7911934344 Reassigns benefits to 4 organizations
I20210107000496 MS Practitioner - Obstetrics/Gynecology 7911934344

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
University of South Carolina School of Medicine, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The West Clinic P.C.Group PAC ID 2668360579, 115 clinicians

Practice addresses (Care Compare)

1588 Union Ave
Memphis, TN 38104-3729
Phone (901) 300-1562

7945 Wolf River Blvd
Germantown, TN 38138-1762
Phone (901) 683-0055

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
90.15 of 100Reported as subgroup
Quality
83.22
Promoting interoperability
100
Improvement activities
40
Cost
77.26

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of the uterus1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
42343TNMDAdvanced Practice Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
Poplar Avenue Clinic PLLC CurrentSince Oct 1, 2020 Accepting new patients
Weeks Cancer Center PLLC Current Accepting new patients
The West Clinic P.C. CurrentSince Oct 3, 2022 Accepting new patients
Emergency Coverage Services, PC Past Accepting new patients
CH DHC Inc Obstetrics & Gynecology Past Accepting new patients
The West Clinic P.C. Past Accepting new patients

Locations

2001 State Dr
Corinth, MS 38834
Phone (662) 286-3694

7600 Airways Blvd
Ste A
Southaven, MS 38671
Phone (662) 349-1000

7668 Airways Blvd
Southaven, MS 38671
Phone (662) 349-9556

2996 Kate Bond Rd
Ste 105
Bartlett, TN 38133
Phone (901) 266-4112

240 Grandview Dr
Brighton, TN 38011
Phone (901) 475-0678

1588 Union Ave
Memphis, TN 38104
Phone (901) 276-2410

6584 Poplar Ave
Ste 400
Memphis, TN 38138
Phone (901) 300-6713

7714 Poplar Ave
Ste 200
Memphis, TN 38138
Phone (901) 322-9080

7945 Wolf River Blvd
Memphis, TN 38138
Phone (901) 448-7000

877 Jefferson Ave
Memphis, TN 38103
Phone (901) 448-5893

Interoperability endpoints

  • Direct secure messaging: aabdu21675@mlh.direct-ci.com

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1176163200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702425600000",
    "number": "1861615627",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7714 POPLAR AVE STE 200",
            "city": "GERMANTOWN",
            "state": "TN",
            "postal_code": "381383941",
            "telephone_number": "901-683-0055",
            "fax_number": "901-922-6722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7945 WOLF RIVER BLVD",
            "city": "GERMANTOWN",
            "state": "TN",
            "postal_code": "381381762",
            "telephone_number": "901-683-0055",
            "fax_number": "901-683-0055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABDU",
        "first_name": "ADIO",
        "middle_name": "ISHMAEL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-10",
        "last_updated": "2023-12-13",
        "certification_date": "2023-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "TN",
            "license": "42343",
            "primary": true
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "MS",
            "license": "25724",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1505450",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "005807360",
            "state": "MS"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "adim@wcc.oncoemrdirect.com",
            "affiliation": "N",
            "address_1": "7945 Wolf River Blvd",
            "city": "Germantown",
            "state": "TN",
            "country_code": "US",
            "postal_code": "381381762",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Germantown, TN

Sources for this page

Verify at the official NPI Registry.